DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Self, Marissa	DOIID	1005793	NAIC NPN	17108119

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/26/2026		9/30/2027
Active	Non Resident	Agent	Casualty	5/26/2026		9/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	1/16/2025	2/28/2025
Inactive	American Economy Insurance Company	300315	Agent - Property	1/16/2025	2/28/2025
Active	Berkshire Hathaway Direct Insurance Company	300925	Agent - Casualty	6/2/2026
Active	Berkshire Hathaway Direct Insurance Company	300925	Agent - Property	6/2/2026
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	9/6/2018	4/23/2025
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	9/6/2018	4/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	10/30/2018	4/23/2025
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	10/30/2018	4/23/2025
Active	biBERK Insurance Services, Inc.	909097	Agent - Property	6/3/2026
Active	biBERK Insurance Services, Inc.	909097	Agent - Casualty	6/3/2026